Customizing a Delayed Vaccine Schedule for Your Child!

Hi friends and welcome to the Dr. Green Mom unfiltered podcast. This is your host Dr. Ashley Mayor. I feel so honored to have this opportunity to support you and your family on your parenthood journey. Just to know before we begin, if you enjoy this podcast and would like to support my work, please consider subscribing at Dr. GreenMomVIP.com. Subscribers have access to my full length episodes, my very lengthy library of parent focused resources, including my treatment protocols, access to my parent support group and exclusive product discounts. As always, I appreciate your support and now let's begin. Oh my gosh, here we go. Hi. Dr. Lydia and Dr. Mayor are in the house because we're giving you a gigantic dose of informed consent today. Like we are, we are giving you all of the means necessary when it comes to vaccinating your child according to the CDC schedule and less doses as possible. It's not even correct grammar, but we are maximizing protection for your kiddo, but we're doing it incredibly safe. So we are going to show you how to have less doses of each of these vaccines in a series. Mm hmm. And this is a question we get a lot. Dr. Lydia came up with this. She's like, you know what, Ash, we've got to just talk about this because it's on everybody's mind. All parents want to keep their kids safe. Either way, whether they vaccinate and from these diseases, right? These childhood diseases? Absolutely. We get questions a lot. Is this vaccine really necessary? How many doses do I absolutely need? How would I know if I need more doses or not? So we're going to dive into that today. We are diving in. So what we're going to do is we're going to talk about the entire childhood schedule. So the mandatory ones, according to the CDC, not mandatory, they're highly recommended. We are going to omit RSB, COVID, flu. Those are the vaccines on the schedule that, you know, the CDC says are important, but they're not necessary to go to school. So we're going to talk about all of these vaccines that are necessary to go to school. And we're going to tell you how to do them less doses in the series. Yeah, it's possible. Some you can. Some you can't. Well, let you know. So we're speaking definitely to the mandated states. So here in the United States, there are several states in the union that it's a law that your child has been vaccinated according to the CDC schedule to be able to go to school. And Dr. Lydia put this beautiful, all these notes together. I love you, Dr. Lydia. We need belts. You helped me to be organized in my ADHD world. And it will help. So the states that are mandated, so you can not go to school by law in these following states. And that is California, Connecticut, Maine, and New York. Those are the four states right now where you have to be fully vaccinated, according to the CDC to go to school. Now it was West Virginia. And it also was Mississippi. Mississippi gained their religious freedom back in 2024. Dr. Lydia surprised me with this information, but the governor of West Virginia, January 2025, he put an executive order out that you have medical freedom, both religious and philosophical exemption opportunity at school. And so we're going to put in the show notes. I have the link to that executive order put out by the West Virginia government. And all you have to do is fill out a form and you can submit it to your state. So we're going to give that information to all you West Virginians. So moving forward, you will have that opportunity. This is amazing. So there's currently just four states where you're mandated. So I love this. So let's chat about that real quick. In order to go to school in these four states, you must be fully vaccinated, according to the CDC. So what we want to talk about today is here on the schedule, there are vaccines where you can do less doses, but considered fully vaccinated. I want to give you one caveat. Most of these vaccines start later in life. So you're not going to get that two month, four month, six month dose. This means that your child will not be protected from those. So if you choose a delayed schedule, although it is okay with the CDC, I just want to reiterate that if you start these doses later, they will not be protected earlier. Yes. And if you're confused about what any of these diseases are, like what is pneumococcal, how dangerous is it, how prevalent is it, please go back to our previous episode where we discuss all of these diseases so that you can make a really informed decision. Risk factors. What is the current risk of the disease? I love it. That's right. Okay. So what's first, Dr. Lydia, do you want to let us know? We're just going to go down the schedule one by one. And Dr. Lydia, if you just want to give some brief information on the vaccine, super, super quick stuff, and then I'll dive into how or how not can you get less doses? Right. Okay. So let's talk about our hepatitis diseases. First, we got hepatitis B and hepatitis A. And we will certainly say that hepatitis B and A are not super risky diseases for little ones right off the bat. They are more diseases of adulthood and or hepatitis A. That one tends to occur more so if you're traveling. There's not a ton of cases just floating around in the water. I don't think there's anything going on like that in the US as it stands right now. So these are not airborne diseases. These are through oddly fluids, fecal oral root. And yeah, so we're going to start with vaccines that do require the full schedule first. Yes, I love it. Hepatitis B, you can't get away from the three doses. Three doses are required. And that happens at birth. Interestingly enough, there's a vaccine at birth, which is hepatitis B. And then the second dose is supposed to be between one and two months of age. And the third dose is between six and 15 months of age. That's what the CDC says. Now in order to go to school in those mandated states, you can do those three doses anytime you want. So you can start those at age four. You can start those at, you know, if your kids starting kindergarten, I would, you could start these doses at age four for school. Now keep in mind, Dr. Lydia said hepatitis is like bloodborne, it's fecal oral. This is a bloodborne disease. So I typically recommend this vaccine only two kiddos who have a mama who may be hepatitis B positive. And you'll know that. So you, you have all of these disease panels run when you're pregnant. So you'll know if your hepatitis B positive. I also like to mention that if your partner or if someone caring for your kiddo is also hepatitis B positive, this might be a good one to get early on. Do I think you do it at birth for most people if you choose to do this? No. So this is one of those that you can start at age four. And you may have a pen and paper or you may be like, you know, hanging out in your car listening to us. So I will say that if you do wait till later, you have to do these doses separated out. You can't do them like one month right after each other. So you can't do it the summer before you start kindergarten. Okay, so you have to be a little bit savvy about when you dose these. So between doses one and two, you need four weeks apart. Okay. And then between doses two and three, you need to be eight weeks apart. So that right there is three months. And then you have to be at least 16 weeks apart between dose one and three. So you need four months before your child starts kindergarten before you start the series. Unless the school will allow you to start having only had two doses. And then some schools, some states will say as long as you're getting vaccinated and you can show that you have appointments scheduled, you will be able to go to school, even if you don't have all three doses. So keep in mind that at least 16 weeks prior to starting kindergarten, if you're in a mandated state, you need to start hepatitis B. Anything else ductility? It's so important to keep that timing in mind. Would you have to kind of work our way backwards? This is a vaccine where there are titers available. So titers meaning we can check antibodies to see how effective the vaccine was. So if you did have a caregiver who is hepatitis B positive and you were back smating and you wanted to know how effective was that first dose, you can always check with titers. And that's a blood test. You just ask your doctor for a blood test. And if your doctor won't do it because there are pediatricians out there who are saying, oh my gosh, you just have to get three doses and there's no way around it. Mandated states will allow tighter testing. So if you can tighter out after one or two doses of hepatitis B, that's pretty amazing. So there is a company. I am not affiliated whatsoever. It's schooltiders.com. And you can order the blood tests online and then you can take your requisition to the blood draw center and get your titers drawn. So that's an option for you. And I've always thought to start a website to be able to do this myself and it's still on my list. So until then, I will continue recommending schooltiters.com. She's got a long list, guys. I've got a long list. Lots of ideas so flying around over here. Decelidia just mentioned the other day that we're doing a cookbook. I was like, "Oh my god, this is gonna be amazing. I don't cook, guys." So that cookbook will probably be your best friend, you know why? It's because it's like literally the most simple things that you can do in your kitchen to maximize their health and their wellness. That is exactly what I do in my life. That's the goal. That's the goal. Yes. Okay, so hepatitis A is next. Now this is what we hear, like this is foodborne. So you go down to Mexico. This isn't the only illness that you'll get if you go to a foreign country and drink their dirty water. But this is one of those. So hepatitis A is a two-dose series and it's at 12 months and 18 to 24 months is when you typically dose this according to the CDC. You can't get around it. But what we find interesting is after only one dose, you are provided up to 97% protection. So keep that in mind that one dose of hepatitis A, you could tighter out. So that is definitely a vaccine that I would get tighters on if you are mandated in a state to get vaccinated. And again, this is one of those that you can wait till age 4. So you do not have to get this done right away at 12 months. You can do this at any age prior to starting school. I will say that I typically don't recommend this vaccine because we just don't have much hepatitis A going around. And if we do, it's self-limiting. You don't end up with liver disease later on like hepatitis B. There are no long-term side effects to hepatitis A except antibodies to it so that you may not get hepatitis A again. So it is a foodborne illness. There are random pockets in the United States of two or three cases every once in a while. But it's a self-limiting disease, meaning it goes away. So this isn't something that I would think your child's going to die if they could have a type of say. Okay. Do you have anything else to add? No, I learned it's actually, it's actually quite a mild infection in kids. And the main problem is that they tend to give it to adults because they don't know that they have it because it's so mild. Yes. It's incredibly mild and I don't typically recommend this. But if you're in a mandated state, you got to do it, right? Yeah. Yeah. I think this one came up in our VIP group. Guys, we have a very active and wonderful VIP group. If you're not a member, just say it. It's a parent support group. It's awesome. We have over 2000 active members. I know. We talked to parents every day. Is that not amazing? I find that amazing. And Dr. Lydia is in there every day. She's answering questions like you would not believe. She's like the doctor on steroids in a good way. She's like constantly in there working. Well, we get really good questions. We get such like, yeah, the parents in there, they really blow my mind. We were just talking about like, was almost vitamin C. Yes, we had a parent traveling to Ecuador. She's like, I love ceviche. I'm a little nervous. Like, do I need appetite to say vaccines? And I was like, well, maybe let's check this out. Let's do the research. Yeah. I might. If I was my Ecuador, I might do that. You don't really want to ruin your vacation, but there are many other bacteria and virus and stuff that will probably take a hold of you, let alone HEPA when you go down to some of those countries when you travel. Okay. So that's the hepatitis vaccines. There's two of them. You can't get away from limiting the doses in a series, but you can definitely do them later. You don't have to do them so early on when your kiddos blood brain barrier is still forming itself when it's immune system is still trying to figure itself out. You can definitely wait until right before school starts if these are ones that if you have to do an mandated state. And would you say if parents are traveling around the US, this is not one you'd be concerned about because we did have some parents going to Disney and they were like, do I need to worry about these things? I would say. I don't know. You can ask Disney for their recent medical records on hepatitis A. But it's true. I'm not concerned about HEPA here in the United States. Okay. In the US. But if you do contract it in a developing country or a third world country or wherever you're going to travel and they don't have as much help with medical care, this is vaccine they may want to get. All right. So what's next, Dr. Lydia? We have D-TOP on DEC, which is diphtheria, tetanus, and pertussis, acetylopertussis. Yes. So this one we're doing full doses of this one. Yeah. So this one you can limit one dose. So it's a five-dose series, guys. You have full protection to diphtheria and tetanus after just three doses, FYI. But you have to do five doses according to the CDC to be able to get 80% of the population gets fully immune to pertussis after five doses. So you actually do still have 20% of the population who's still not properly vaccinated to pertussis even after five doses. But according to the CDC, you need five. Now there is a way to get four doses if you're in a mandated state or if you choose to vaccinate and you want less doses in a series. And that is that that fourth dose has to be after age four. So it's typically, I believe, between 12 and 15 months is the fourth dose. So if you do your first three doses sometime before age four. So if you're mandated state, you don't have to do them at two, four, and six months and then 12 and 15 months. If you start them around age three or four, you can get those four doses in a series and not have to do a fifth. Now just like hepatitis B, though, you can't start dosing D-tap the summer before you start kindergarten. You have to go and do at least some time in between each dose. So Dr. Lydia, so graciously put this in the notes and we'll have them in the show notes as well. So if you want to take a look, if you can't remember. But for doses one, two, and three, you need at least four weeks between each dose. Okay. Now you need six months between the third and fourth dose. So keep that in mind. Now if you plan on going to kindergarten, I would recommend around age four to start the series. So you'll do one at age four, one at age four and one month, one at age four and two months and then you'll wait six months and you'll get that fourth dose. You have to get that fourth dose six months after the third dose or it will not count. So that's how you get four doses. So instead of five, is wait to get that fourth dose until after age four. Anything else you want to add, Dr. Lydia? Oh, just that this is not a vaccine that we really use titers for. Pertestis is really the interesting one to me because the protection seems to wane quite quickly. It's not a very effective vaccine compared to the whole cell that we used to use. Am I understanding that correctly? You lose at least minimum 20% efficacy per year after the last dose of D-tap that you do for pertestis. So it wanes very quickly. So by the time you get that fourth or fifth dose of D-tap, by age 11, you have to go back and get a booster dose of T-dap because your titers to pertestis will have wained to almost zero. So the pertestis portion of the vaccine is just not that great. So if you're looking to protect your child from pertestis, this vaccine just doesn't work very well. It will give you some some protection, some help, but it's not going to fully keep you from getting pertestis. Right. And when we say pertestis, we're talking about woothing cough, that kind of seal bark or like cough. So that's why we don't necessarily test titers with the D-tap vaccine. You will titer out after three doses for tetanus and diphtheria, but with pertestis, you may or may not titer out even after all five doses of pertestis because that portion of the vaccine just doesn't work very well. And so I would be highly, highly surprised if you ran a tighter test after, you know, two or three doses of D-tap and you titer out of pertestis, it just doesn't happen. So I would probably save my money on doing tighter testing for pertestis for D-tap. It's just my my two cents. Save your coins, people. Save your coins. Save your coins on that one. All right, what's next, Dr. Lydia, on the CDC schedule? We got a hot one, MMR measles, mumps, rubella, okay. So this is an interesting one. You have to do both doses to go to school. However, if you titer out, if you do a tighter test of these three in any of the mandated states, you can go to school with only one dose. Ah, such good info. Yes, yes. So although you on the CDC recommended schedule, you have to do two doses to be able to finish the series in a mandated state if you show that you have titer's. to measles, mumps and rebella, you can go to school. Now, the problem is this. The measles portion of the vaccine, you will probably tighter out. In the rebella portion of the vaccine, you will probably tighter out after one dose. It is very hard to tighter out after one dose when it comes to mumps. The mumps portion of the vaccine does not work very well. And so you can take a gamble and if you're running titers to some of the other diseases after a dose or two or three, depending when you're doing it, you can run an MMR tighter as well and see if you've tightered out to mumps, if your kids tightered out to mumps. And if they have, then only one dose is needed for school. But typically, you'll have to do both doses. I have seen it happen where kids have tightered out after one dose. Now, again, if you're wanting to do this prior to going to kindergarten, you need to at least separate out the two doses by 28 days. And do I recommend you getting them back to back month over month? Probably not. I would want to keep a couple months in between. So, you know, maybe the spring before you start kindergarten, do a dose. Sometime around age four and something. And then maybe at the end of age four or early age five, right before you go to kindergarten, you can do that second dose. This is good information. So really for parents, if your child is entering kindergarten at age five, it's really kind of by their fourth birthday, you want to be sort of planning out what that year is going to look like. Yes. Okay. That's good to know. Yeah, if you want to delay all the way to age four and last, as a parent, do it, especially in California, because I'm so close to California, I live in Arizona. I hear about it a lot. And New York too. I used to have a lot of phone calls to New York. A lot of Zoom calls with parents to New York. Okay. So the next one, Dr. Lydia. Yeah, we've got Fair Chela, chicken pox. There's itchy little bumps. And this is one where you do need both doses. But why don't you talk about how you space them? Yeah. So same thing here, the mandated states will allow you to tighter out a Fair Chela if you can get it in one dose. So just keep that in mind. If you are wanting to do titers though, you should probably start before the fourth birthday to plan out the tighter testing. Because you'll want to do tighter testing in between those rounds. And I'll say this. I thought about tighter testing with my daughter and when I had to vaccinate her, I actually forewent the tighter testing because that's a lot of pokes at a young age to draw blood. So if your kiddo is cool with drawing blood, great. But with my daughter, I actually chose not to tighter test because she was profoundly stressed out about a blood draw. And so my mommy got said, just do the vaccines. You're protecting her so well. And you're doing all of the things necessary to keep her immune system and her logical system supported. And so we opted not to do tighter testing. And was she a little bit older when she got these vaccines or did she get them on schedule? No, she did not get them on schedule. She was a little older. So it was a delayed vaccine. Yep, they were all delayed. We did not get anything around birth for her. And that's because she had a severe issue with her immune system. So I mentioned this on our last podcast. I think are the podcasts prior. One of these podcasts. Yeah, detox. Yeah, the kids detox podcast. I told you, I gave you guys the story of my kiddo and myself and what we went through in court and having to vaccinate her. I did have to go to court for this because not because I just didn't want to do the schedule. I just didn't want to do it. It's because my daughter had a preexisting condition that made me not want to do the schedule. So it wasn't just that I just didn't want to do it. There was medical reasons why I didn't want to do it. OK. So Dr. Leigh, do you want to talk about how to give the dosing for Vericella if you're waiting? Yeah. So it looks like first dose can be given 12 to 15 months. But what you're really looking for is it looks like the second dose is coming three months later. So at least four weeks, but typically about three months later. So again, spacing them out. And I will say back to that detox episode, what was really interesting, all the trials and tribulations you had with your daughter, and a birth to this whole company, and all the supplements that you make. And everything kind of followed from there. So guys, if you're going to have a heavy vaccination year, if the fourth year is a bit heavy, Dr. Mayor has spent many, many, many thousands of hours for me, lady products, to help your little one get through it. And I always say, if you're on our bundles of products, it's even bundled for you. So it's a complete no-brainer. Your child is more prepared than 99% of kids going in to get their vaccines. And so just get the bundle. Thank you. Yeah, my neuroimmune vaccine bundle. That's what I gave my daughter. That's what she got. So it really is a no-brainer. If you don't typically do supplements, I recommend them for this period of the vaccine season, like 100%. So thank you for that. I appreciate your kind words. Thank you. Yeah, for sure. A couple weeks before the vaccine, a couple weeks after. And you could just go in there feeling really confident that you're doing everything you can for your baby. And I did. I was like, could we got this? So it was a scary, scary season for me as a mother, but it all was wonderful. Like everything is a-okay. So thank you. Okay. Let's now chat. This is the meat of our podcast is to chat about the rest of these vaccines. How do we get less doses in a series? And so, am I going to talk about pneumococcal, Dr. Lydia? Yes. Yes. So this is an airborne bacterium. And this one, a lot of kids are exposed to it. And it's kind of of no consequence. But pneumococcal, it can be invasive. It can cause things like meningitis. And that's why we vaccinate against it. This obviously meningitis is quite serious. But these are the vaccines. Everything that we're going to discuss here on out, you can strategize and reduce the number of doses if you do decide to delay. Do you want to describe how they can do that with the preprenowned pneumococcal? Yes. So the pneumococcal vaccine is prevenar. It's now prevenar 20. So we continue to add invasive strains to this vaccine. It started as prevenar 7 back in the 2010s. And now here in 2025, we have the prevenar 20. And if one of these strains crosses the mucosal barrier, and they do, that is when we have this consideration that we have to should we vaccinate, because this is one of those that may cause meningitis. So listen to our last podcast. If you want to know what the current risk of this disease is here in the United States. And so typically, you'll go in at your child's two month appointment and get a dose. It's a four-dose series. You'll get a two month, a four month, a six month, and a 12 to 15 month dose. And so that's four doses. Now, if you want less doses in a series, because you're in a mandated state, or if you're breastfeeding, this is an opportunity for you to maybe look into less doses in a series. And so I'm going to tell you, write this down, or it'll be in our show notes. If you start the vaccine at age seven months, instead of age two months or four months or six months. So if you wait and make sure that first dose is after seven months of age, you only need three doses not four. If you start the schedule at age 12 months, you only need two doses. And if you wait to age 24 months, you only need one dose. Now, you have to start the series at one of these ages. So if you did one dose at age two months, and you're like, hey, Dr. Mayor, how do I get less doses in a series now? You cannot, according to the CDC. Now, if you live in a mandated state, you'll have to continue to get off for doses. But if you live in a medical freedom state or religious or philosophical exemption state, you don't have to do any more doses after age two months if you don't want to. But according to the CDC, you have to wait to start that series until after the months I just told you to be able to limit the doses. Now, if at age 59 months, so the kid is turning five, you have not vaccinated them from pneumococcal. They will need zero doses. So you will never again be asked as a child to get this vaccine. So it'll be zero doses at age 59 months. And that's how you get less doses in the series of pneumococcal. Like I said, though, at the beginning of this podcast, your child will not be protected from pneumococcal if you do not get vaccinated. They may be your breast milk transfer plus central antibody transfer if you're breastfeeding. If you choose not to vaccinate or wait to delay the schedule, they will not have antibodies to this disease. So I just want to give that as a caveat. It's not a bad thing. It's not a good thing. So I just want to let you know, though, as a caveat, that if you do skip the doses before you start, they won't be protected. Now if you start the series, later and you go through with what I just told you, they are considered fully protected according to the CDC, even though you have less doses. Does that make sense, Dr. Lydia? It does, and I think it speaks to why it's so important for a parents to know about the CDC's stacks, which we discussed in the last podcast because that way you can go in and you can see how many pneumococcal cases are recorded both country-wide and in your state so that you're making decisions really wisely and based on real numbers. And that's at stacks.cdc.gov. So that is where you're able to take a look at these diseases and find out how many cases are in your area and so by weekly basis. I think they used to be weekly and now they do it every other week. Yeah, and this one's pneumococcal under the age of five. Let's try and remember the search terms there because sometimes they can be a little bit tricky, but I do think you narrow it down by age. Yeah, so it's invasive pneumococcal, age five and under. Right. Yes. Is how you search stacks.cdc.gov is invasive pneumococcal because pneumococcal is prevalent everywhere and your kids will get infections and it may be pneumococcal. It may be a strain of pneumococcal that we don't vaccinate for. So if they get an ear infection or if they get a cough and a cold and they get a throat swab or no swab and it comes back pneumococcal and you vaccinate your kid, it's probably a strain that we don't vaccinate for. The next one, Dr. Lydia, where you can get less doses in a series is you have pneumophilus influenza B and this is typically a four dose series and similar to pneumococcal. We have concerns about this one because of that meningitis risk. Now there are many different strains of pneumophilus influenza from eight to f if I'm not mistaken. So they're not all the B type, they're not all invasive. Your child will be exposed probably to some form of pneumophilus influenza at some point. But okay, tell us about delineate schedules here for this one. Okay, so the hemophilus influenza type B vaccine is only type B. You may get a hemophilus influenza diagnosis and crazy enough your pediatrician may call with results and say your kid has hyb. Your kid does not have hyb. If your kid had hyb, that strain will have invaded the mucosal barrier, gotten into the bloodstream. That's hyb, HIV type B and that is quite invasive and that's where we have the risk of meningitis. But that risk is incredibly low. I think the last time I checked there was like three cases in the country this year and all of the country. So if your doctor calls you and says that your child has hyb, you should probably question that and be like, well, aren't they supposed to be in the hospital because they're here at home with an ear egg. So I just wanted to say that. So it is a four-dose series. You're supposed to do the same as pneumococcal. It's two months, four months, six months, between 12 and 15 months. However, again, if you start the series at age seven months, they only need three doses. If you start the series at age 12 months, they only need two doses. And if you start the series at age 15 months, they only need one dose. So the difference here is that pneumococcal, if you start the series at 24 months, you only need one dose. Hib, if you start the series at 15 months, they only need one dose. And again, after age 59 months, so approaching the fifth year, if you have not gotten vaccinated for hyb, HIV, your child will never again be asked to get vaccinated for hyb. Okay, so keep this in mind when you're looking into the series if you're in a mandated state. There are a couple states who do require or kindergarten one dose of hyb or one dose of pneumococcal. And so keep in mind that you can wait until after age 24 months or age 15 months to get hyb in pneumococcal. And then they'll only need one dose, not that four-dose series, to start kindergarten in a mandated state. If I've had 12 months old, would I book an appointment and bring them in and get them the hyb and the preff and our vaccine at the same time, which you spaced out by a couple weeks? They can certainly. Okay, so you can just book one appointment. You can certainly get them together. Typically, now the pediatrician's office are only dosing out these combination vaccines. So you have to get vexcelis is like this new combo vaccine, but that also includes some of the other vaccines that you may not want. So you may have to get one dose of hyb and one dose of pneumococcal, one shot in each leg or arm. So keep that in mind, or you can separate it out. So it's like, hey, at 15 months, I'm going to get my one dose of hyb, and at age 24 months, I'm going to get my one dose of pneumococcal and be done with it. Or if you only need it for school, you can wait until age three or four to get that one dose. You do not have to get it at 15 months or 24 months to get that one dose. You can do it any time after 24 months for that pneumococcal or anytime after that 15 months for hyb. But if you can wait till age 59 months, so if you can wait till almost age five, you do not need either of those. So it just depends how the school lays out. And if you're not in a mandated state, then none of that matters. So anything I just said doesn't really matter. Okay. So let's talk about rotavirus, good old fashioned diarrhea town with that one. I don't have a lot to say about this. You know what I'm going to say? If you don't get this before age one, you never need it. Okay. And we're done at the end. Yeah. So there you go. It's three or four doses, and it's an oral live virus vaccine. So it's, it's, yeah, they have to drop it into the babe's mouth. And it is a live virus. And this is one of those vaccines that shed incredibly in their stool. And we'll pass on to other kiddos. It's a fecal oral transmission. So I call this a daycare disease. The reason why rotavirus is problematic is dehydration. So there's a lot of diarrhea that happens. Definitely manageable. But dehydration is the main concern in misst work. So parents miswork. That was another thing that the CDC put out is, you know, parents won't have to miswork if their kiddos get this rotavirus vaccine. They won't have to take time off to take care of their kid at home. Yeah. So it's what Dr. Lydia just put in these notes, which is fantastic. Rotavirus cannot be given past eight months. And so if you delay it, you actually skip it. So you completely skip it forever. So if you do not vaccinate for rotavirus prior to age one, you will never again be asked to get the rotavirus vaccine in your child's lifetime. No, no titers are necessary for this. It's kind of a, you don't do it or you do do it. But if you don't do it by age one, then you can't because it falls off the schedule. And so you won't be able to do it. So yeah. I will say parents, if you, you know, Dr. Greenmom, the blog has about 10 billion articles on pair for parents just to like be informed. Just because we've been writing, I think you've been writing since like 2014. So there's anything and everything. If you have questions, I guess I feel like every parent should maybe do a review of how to manage diarrhea. As soon or later, your child is going to have diarrhea. And if you are concerned about how to keep your child hydrated, like never hesitate to take them in for medical care. Certainly, if you can see the fontanel like the front of their, their head is dipping down or if there's no wet diapers, please take them in for medical care. But if your child's hopping some loose tools and you're not too sure you're up on your diarrhea management skills, just go to the blog because we do have a ton of information there. And it's free. It's free for you. Dr. Greenmom.com, if your kid has anything, I don't care if it's hand foot mouth, pneumococcal, if they have measles, if they have diarrhea, if they have caratosis polaris, y'all, we have free information for you guys. Just type in what you're trying to find and chances are likely if it has anything to do with a kid, we have an article on it. If it comes to healthcare for your child or your infant and there's a diagnosis, we probably have information on it. So thank you for that, Dr. Lydia. And I will reiterate with rotavirus, if you choose not to get the vaccine and your child does have severe diarrhea, whether it's rotavirus or not, never feel like you should stay home if you're nervous, take them in right away because if they're not wetting diapers, if they have a sunken in front fontanelle, it's the area where the bones in their head are not fused together. It's right at the top of their forehead if that's sunken in ever and they have diarrhea that's definitely assigned to get them in to seek medical care. So thank you for reiterating that. Dr. Lydia, is this our last one? This is amazing. How did we like plow through this so quickly? I love it. I know, we're very efficient today. Okay, so the last one, let's talk about the last one, this is polio. Okay, and this is one where yes, you can get away with doing less doses in a series. Now this is a four dose series, so it is typically given at age two months, four months, between six and 18 months, and then again, between age four and six years. So that's four doses in the series. So you can get away with three doses in the series. If the third dose is after age four and six months after the second dose. So the first two doses just make sure that that second dose is at least six months before the third dose and that third dose has to be after age four. So as an example, if you wanted to do the first dose at age two, the second dose at age three, make sure it's at age three and five months or before and then at age four, you can go in and get that third dose. Now with regards to titers, this is super interesting. Titers here in the United States, we only test, there's three types of polio, type one, type two and type three. We test titers for type one and type three because type two was globally eradicated in 1999, so we don't even test for type two anymore. Now interestingly enough, if you live in a mandated state where you have to vaccinate, they will tell you that they will not accept polio titers because we do not test for polio type two. So you actually cannot get out of less doses in a series than three because they won't accept polio titer testing. Now that was a year ago. So if there's been any legislation change, that would be absolutely fantastic to hear about. So that's polio. You can get away with less doses in the series. And actually, Lydia, it's 44 minutes. This is fantastic. So you're under the hour. Wasn't the last one like an hour and 30 minutes or something? Well, we basically didn't immunology course, which I still -- and we navigated the CDC website, which guys -- Yes, it's not easy. That was a lot in the little time, for sure. So we hope this helps. I know that those of you in a mandated state, this is going to be most efficacious. And yeah, we're always here for you. So I hope this was helpful and we -- do we have next episodes titled yet? Do we know what we're going to be talking about? To be honest, no. But I'm going to check out the VIP group because that's where we get our ideas and Facebook group, too. We have a private Facebook group, also very active. I think there's about 19,000 members in there chatting and asking us all kinds of questions. Yeah, Dr. Greenlife Organics is the private Facebook group. If you all haven't joined, you should join it. It's obviously three. Lots of great questions all the time in there. So yeah, without further ado, I will bid us ado. Okay. And VIP members, we will see you. We're going live next week and we'll dive in even deeper with this. So if you have questions for your VIP member, they're going to be able to talk directly to Dr. Mayor, which I knew. It's exciting. I bet we're going to have a lot of help me create my schedule questions. It's going to be all right. Thank you for all this delayed information. Now which vaccines do I do when and how do I create the schedule before my kid has to start school? Probably the questions that we're going to get I'm assuming. So I'm armed and ready for that. And if you miss that live call, everything's recorded. So everything stays in your VIP membership and it's recorded. And so thank you for that, Dr. Lydia. Okay. And yeah, thank you so much. And you guys have an awesome day. Bye everyone. Bye. Bye. I have so much more to talk about. So if you'd like to continue listening to this conversation, please join my VIP membership community. After signing up, you'll have access to my full length episodes, my very lengthy library of parent-focused resources, including my treatment protocols, access to my parent support group, and exclusive product discounts. Join my community at Dr. GreenMomVIP.com. Thank you for listening and I'll see you next time.